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<br /> ,~ ANNUAL FEE and REPORT REQUEST <br />PERMITTEE NAME: ~etco Minerals Corporation <br />PERMIT NO.: M-1977-286 <br />OPERATION NAME: Maybell Mine <br />ANNNERSARY DATE: July 2, 2005 <br />ANNUAL FEE DUE: $550.00 (Due on or before your anuiversary date) <br />COUNTY: Moffat <br />V' S <br />~~EII/~® <br />JUL 0 g 20~ <br />~~ Division of Minerals and Geology <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116,each year, on the anniversary date of the permit, an <br />operator shall submit the annual fee, a report and map showing the extent of current disturbances to affected <br />land, reclamation accomplished to date and during the preceding yeaz, new disturbances that are anticipated to <br />occur during the upcoming yeaz, reclamation that will be performed during the coming year, the dates for the <br />beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attach vonr revised written anneal report and anneal remit man to this form. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may suffice for a written <br />report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Pertnittee Contact: W.R Junge <br />Permittee Name: Umetco Minerals Corporation <br />Address: 2754 Compass Dr., Ste. 280 <br />Grand Junction, CO 81506 <br />Phone Number: (970) 245-3700 <br />Fax Number: (970) 245-7543 <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />Below or attach it to this form along with your written report and map. Annual Report instructions are enclosed. <br />~,.aJo(~rr.~t%2 ~Ylo.,a~ <br />gnature of Corporate Officer, Owner <br />4~2£Ba4- <br />